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1848 Cliff Lake CtCITV OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ' ' " ' " I""`' 0 7 0 ? c I(? t= 7? fii ?t?.k If t t,qNf C f , , 1 . , ,t , 'i?•, PERMIT SUBTYPE: PERMIT TYPE: "" i 1 1,11 Nf} Permit Number. HR''o Date Issued: ! t ti f 9F. I 101 t M AN t! f)t4f' s 7 W N'tA IiH4tl TYPE OF WORK: M i" W t oh A FINITs ) INSPECTION .. . D• i t+ !?, • I ? r.?? I i 7 i'1 ;t? ? 1 r•Ir? I [it Misf.f F I ? : f 1<[i ! 0 l ? 11 1 1 fiil tlf Ni f I ? I fi?i ? J Permit No. Permlt Holder Date Telephone It ELECTRIC --.puw,4./ Go- It" PLUMBING ?A ?? IJ?'G3r HVAC ? • ?? of? lpa lp7 Inspectlon e Insp. Commenta FOOTINGS Q ,, ! (ti!J FOUND C y FRAMING ROOFING ROUGH PIUMBING ? -/9 97 C'f ? PLBG AIR TEST -2O ROUGH HEATING - ('f ? V GA5 SVC TEST INSUL GYP BOARD ? y 1(? 1 ?u3 FIREPLACE FIREPLACE AIF TEST FINALPLBG ! FINAL HTG ORSAT TE5T BLD(3 FINAL / H BSMT R.I. ? BSMT FINAL DECK FTQ DECK FlNAL ? ? INSPECTION REC4RD ?CITY OF EAUAN PERIUIIT TYPE: ''"' ' 't 1 1`4 `' ? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ' ' " ' " ' ' ""'' "'+" `} ti? i - N ?-l i ti + r. I 1 F F 1 Ah.t c I 1 ( 1 i Ai:.F Ilnl?F.' ': , APPLICANT: W14 IIHNT PERMIT SUBTYPE: TYPE OF WORK: ti t LJ I?f ?.1 Ft 1 F` I I+!N i I t?f 1!tN 1 7S) INSPECTION .A • .A i 1J•.111 !'. t 1??t? i t;.: ! 1.?.i ! ?r??'??:?I I N I'f ?.?? I•iilit.il ? iQ !1 !'? • ?llr5l I ! 1'1- ' 'Ntt? F M(iP1 ', i tf: Fttl i 11 F 1 I Ftl I t` 1 ft?? !!# 1 a I_ Permit No. Permit Holder Date Telephone p ELECTRIC 33U PIUMBING HVAC Inapectlon insp. Comments FOOTINGS FOUND O FRAMING ? 4pe4equ7AJ~. ? ROOFING ROUGH PLUMBING Z ? - IJ ?j? T S PLBG AIR TEST ROUGH HEATING GAS TEST VC INSUL GYP BOARD ! FIREPLACE - 9 FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT 7EST . BLDG FINAL ?_?lsfT ?? BSMT R.I. BSMT FINAL DECK FTG DECK F1NAl I ? ol 2.+"/tLSQ r 11 \ IJ 1 l'/ t11 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ? . 1 1 1 F I I A K I i 1 I 1 1 t AF t '.N(+i;E'-. PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: Nf?il t) INti N?ttRN9 0p/I8,f96 , APPLICANT: r: TYPE OF WORK: iri i i ; 1 i 1:1-1 N! IJ ( l OF 4 IINI (`'i ) INSPECTION i , . , .. tA • .,? .'I, , I • I' D• 1 1j',il? /? {? i!}: ? I f; {f f ll1 f ;llt:1,01 1 N ? i f:t, 1 14 ni f N1-MAIt1 .13 + : f_ttf) 1 0 1 I t Nf F L ti t+ !J F' 1 fi f+ I,t F IY ?' t t 1 1 f ? '00 g ? ? Permit No. T Permit Holder Date Tefephone M ELECTRIC PLUMBING HVAC • Op?JJ'? (p?cl?J Inspecdon e Insp. Comments FOOTINGS ! ?o '•?4p w FouNO o 4` AAS FRAMING l ROOFlNG ROUGH PLUMBING / d/$rI GK/ A RBTEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIFEPLACE FIFEPLACE AIR TEST 'J FINAL PLBG '-? / FINAL HTG ORSAT TEST BLDG FINAL se BSMT R.I. I BSMT FINAL DECK FfG DECK FINAL ?, N ? • CITX OF EAGAN 3830 Pilot Knob Road , Eagan, Minnesota 55122-1897 I (612) 681-4675 ? SITE ADDRESS: I I fit r ?! PERMIT SUBTYPE: TYPE OF WORK: ;,i I t. 1 I I l;f., 14111 - i i n t "ri e:'f'?H48 0y/ts/96 +I F LI i I G I- 4 UN t 7' e. } INSPECTION ,. • . I i'ItFf ( N?? iiJ' ?I{ tl1 t?'k? I lfrf ('I ?ti? ; ?•?i?l?,tl l.td ?? I,?, I: ??t??,li r?i ?? ??. ?? i?,,? i•? i??, i i r,,,i I kF MAFtk :r s!t"R u l11 l I 1 N1 F L in- % & W{'I Hft Ilf M: F' 1 V1 lar '_'3 "Al PERMIT TYPE: Permit Number: Date Issued: n : I Ni 91 q APPLICANT: i• st')n Permit No. ? Permit Hold2r Date Talephone # ELECTRIC PLUMBING ? 1? 7 af ??S 5 HVAC , oa? 9? 8a5 ?8?7 Inspeetion Insp. Comments FOOTINGS <° ??'t FOUND 1o A FRAMING w'J ROOFING ROUGH PLUMBINd PLBG AIR TEST . 3 •? ? ROUGH HEATING GAS SVC TEST - ?? INSUL (3YP 80ARD FIREPLACE J? FIREPLACE AIR TEST FINAL PLBG FINAL HTG i? y q? JQ ORSAT TEST BLDG FINAL BSMT R.1. BSMT FINAL DECK FfG DECK FINAL ? - - rrlm RESIDENTIAL BUILDINC PERMIT APPLICATION LI CITY OF EAGAN ?. 3830 PILOT KNOB RD • 55722 657•681-4675 NewConstrudlonReauirements RemodeVReoairReauirements 2 • 3 registered sile surveys show"vig sQ. IL of bt, sq. ft of house; anckfl mofed areas . 2 copies of plan (20% maximum lot ooverege albwed) . 1 set of Energy Calalatiore for healed additions • 2 mpies ot DWn ahowing beam 8 window saes; poured iwnd design, etc.) . 7 slte survey for ezterbr add'Nons & dedm • 7 set ot Energy Calalations . Indicate'd horne served by sePtic system far additbns • 3 oopies of Tree Preservation Plan d bt Dladed after 7f7A3 . Rim Joist Detal Options selection sheet (bldgs wiTh 3 a leas unils) DATE CI Zf ;)- /0 / JOB SITE VALUI[ION 4 l,D J - - /rS- `/ ?.l.Cf? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER? 4. e l eg.l'-t o TYPE OF WORK lL e- ?S FIREPLACE(S 0_ 1_ 2 APPLICANT 2vj C, PHONE __a ADDRESS 42, cl ;4q„ ZIP CODE PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventllation Category 1 Worksheet Submitted - Energy Envelope Calculatlons Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Conhactor. _ Plumbing System Includes: Meehanical Coniractor. _ Mechanical System Includes: Sewer/Water Confractor. _ Water Softener _ _ Wa[er Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 All above iMortnation must be submiried prior to processing of application. 1 hereby acknowledge that I have read this application, state ihat ihe information is correct, and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Or n nces. Signature of Applitanf Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ . . ?t Updated 1l01 Phone #: Lawn Sprinkler No. of R.I. Baths A? '33V- 5 01 0 OFFIC USE ONLY This mpuesf void 18 months from .olldafon date pnnted in this boz 4 . g 94 ?7 g/ 05v 010 ? PLEASE PRINT OR TYPE ?I / / Reqvest Da1e Ro?gh.in inspMlon req.ir Ves [] N. I?apedlon Other ihon Rough-In: 0 Reody N2o??Wlll Coll - fYoumm' mlltheinspecrorwhe rea ) Det dy: I, licensed mnfroctor ? owner hereby reqoest inspedion of the a ove eletlr al O67 ` lob Pddrese (Strost, Box, Ra?k No.) l Ciry $ection Na. To.mship Name Range Na Firo Na. Coun 0,? ?i Phone Na. O PowerS Addressj ? EI ri I Conmtlor (Company Name? Conha Gcanse No. MosNr lic. No_ (Plant EIM. Only) iG Comrornr Owner Perlomning Inslallafi ? s ( Mailin9 Add«e ' ' l ?"t A. 'zed Signmum (Cam cmr or Ownai Ferfo.ing Inslollation) Pho No. y - E3-0000 A- 0 6/95 STA BOARDCOW•SEEINSTRUMIONSONBpCKOFYELIOWCOPY I REQUEST FOR ELECTRICAL INSPECTION&5??d Ilr II f?l? II IIIII I(I II I?IIIIII Minnesota essity Avear Rmf SI128c B21 Un St. Paul, MN 55104 * 0 3 3 6 5 0 1 2 * Phone (812) 642-0800/o/?t?(o e Duples Apt. Bldg. Othec New Addn mercial Indusfrial Fartn emod Re air ond. tC Load Mgmf Other: r Ran e Elec Heat Tem. Service e "X" a6ove fhe work mvered by this request Enfer remarks ing fhis spoce and on the back of the white copy only. ?4?3 1-7 t I Colculofe Inspecfion Fee - 7his nsp Request will not be a<cepied wiihout the correct fee: Other Fee a! $ervia EMrance $ize Fee # Circuih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 fo 100 Amps Sireet Lig./Tmffic Sig. Above 210 Amps Abovel? Amps Transformer/Generator INSPECTOH'SUSEONLV T TA Sign/Oudine I.tg. Xfmc Alaim/Remote Conhol $wimming Paol I hereb cetli that I iria M the ele ' Ilalio descdbed"hereln on Ihe dale Aed Irrigafion Baom Ro?gh.i? S ecial Ins ecfion ? p p Final Do?e Invesiigofive Fee THIS INSTALLATION MAY BE ORDERED 619106NNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 336-50 O 1 /?S/Q;? s request vold 18 manihz irom valldanon date pnnred in this583 3 EO51 d PLEASE PRINT OR TYPE Request Oate C Rough-in inspeclion req re 2 Ves ? No InspecAOn Oiher Thon Rov9h-In: 0 Reody Now cibmall '?' (YOV must mll the Inzpecror whe readyl Da1 k y: I, licensed mniroctor ? owner hereby request inspection of th a ove elecfrica ork Job Address (Si, B r RoNe No ) 1855 .Ct • Ciry ? p de I Secnon No. Township Nam . Ronge No. Fn No. Coun Oau m LMJ • Phane Na. Pawer 5upp Pddrezs ? EIMri I Conho r ?Company Name) Conh lirense No. Master lic N. (Plon1 EIeR. Only) ('? ? O_` Mailing Pddreu (Cammcm Oroer P erfo rming Insmllal' I , ^ ' * Au rized SignoNre (Contmdor or Owner Perfarming Insmllation) Phon<No. C 1 ? EB-OOO01A-10 6/95 STATE B 0 COW • SEE INSTRUC710NSON BACKOF YELLOW COPY Stat Oe Ba d E of ERectrA? NSPECTION ???p? I III II I? I II I I II III I I I I II REQUEST IIII I 1821 Universiry Ave., Rm. S- 8, S. Paul, MN 55104 0,3 3 6 5 0 0 4* Phone (612) 842-0800 10/S JC(l Home Duplec Apt. Bldg. Olher: New Addn ommercial Indushial Farm Remod Re air Air Cond. Hig. Equip. Wofer Htc Laad Mgm}. Ofhec Dryer Ran e Ele<. Heoi Tem .$ervice "X" abave ihe work covered by }his requesL Enter remorks in this space and on the 6ack of fhe white mpy only. Calculate Inspection Fee - Tbis Inspedion Request will nol 6e ac<epted withoui fhe cdrretf iee: ^ 3? ?• ONher Fee # Service Enhanxe Size Fee # Circuih/Feeders Fee Mobile Home Park Sfall 0 to 200 Amps 0 to 100 Amps Sfree} L}g./Traffic Sig. Above 200 Amps Amps Transformer/Generctor INSPECTOR'SUSEONLV T Sign/Outline ltg. Xfmr. 1 / ? • Alarm/Remote Confrol ? Swimming Pool I hereb cenl tha1 I Ins echd t e eadriwl msmllm.on d cd6 a da?es smb Irrigation Boom l k S ecial Ins edion p p Investigafive Fee Finol _ Do THIS INSTALLATION MAY BE OHDERED D CO NECTED N COMPLETED WITHIN 8 ONTHS. 3 36- 4 9 981 OFFIC USE NLY Thls requesl.old 18 months !mm valldalion dale pnnred In Ihis 6ax ? PLEASE PRINT OR TYPE RequeatDane '? Roogh-In inspenion requl d e N. Y ll Ih i h d Inspenion OlherThan Rough.ln: 0 ReadyoNoow?yJillCall R ( ou most ca e nspenor w e rea y) ?a _o I, licensed con}racfor ? owner hereby reques} inspeqion of fhe above elect' lob AAdmss (Areet, Box, ar 1 N. ? cIp ? 06, Cod / SMion No. Township Nam Range No. Firc No. c O??Pa^? Phone No. Powe pllar pAdres: Eled' I Conlmcbr (Company Namv) Conlmdor se No. Mo.ror Lic. N. (Planr Elea Only) Mailing Pddrzss (Contraaor ner PeAarming Inslallanonl 0 . nzadSignoNm?Co crorarOwnerPedormiiglnsmllanon) . Phon No. I ?3 5 _EBOOOOFA-lb6/95 STp7E01MDCOPY-SEEINSTHUCTIONSONBACKOFYELLOWCOPY i? IIIIIIIII II( IIIIIIIIIIIIIIIIIIIIIIIIIIII BP?U? ess? A° Rm° SRI BcSt. 'Paul P, MN b5Oio 0 3 3 6 4 9 9 9* Phone (s12) sa2-Oeoo G4 /S Home ldg. Other: New Addn ommercial emod Re air Air Cond. W r Hfr. Load Mgmt. Other: D er Heaf Tem . Service t byEnt e "k' above the work mENer remarks in fhis spoce ond on fhe bock of the white mpy only. ? I U Colculofe Inspedion Fee - This Inspection Requesf will not be accepfed withoul the mrred fee: OFher Fee ? Service Enhance Sae Fee # Circuih/Feeders Fee Mobile Home Patk Stall 0 to 200 Amps 0 to 100 Amps Stree} Lfg,/Troffic $ig. Above 200 Amps vi Amps Transfortner/Generofor INSPECTOP'SUSEONLY T'7pL $ign/Oufline L}g, Xfmr. 1 . ? ' ? Al 0 arm/Remo}e Control ? 7 Swimming Pool Irrigofion Boam I hereb cerli Ma d ?h bem'mon Ihe daks d Speciallnspedion Rough-in Imesfigofive Fee THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF N07 . ai crcn wir uw .n unur?.? 3?1 - 4 9 8 ? OFFICE USE ONLV This requesl rotd 1 B mon?s hom vaildanon daM pnnted In Mis? s'j ? " ??s y'lO - 7?2,2 9S I ??7 erv PLEASE PRINT OR T YPE Request Dale Raugh.in in.pection requircd Yez ? N. Inspecnon Othr Than Roogh-Im ? Reody N Will Call I S•q? (You must call Ihe Inspedor wh rea y) oata Ready. I, licensed can}mcto r El owner hereby request inspedi o e a6ove rical r t: Job Address (5treat, Box, or Roure No.) Ciry ? Seciion No. Township Nome Range No. Fire No. Co Oaupant Phone Na. aa- o PowerSuppli r Pddress , Elacrvi I Connacror (Compony Nume) o r Licens Contm d Masror lic. No. (Plant Elxt Onlyl 5? /v?.? (r- l.? wti ' ? ( ? f'T Moi ing /ddm s (Cantmtlor or er Performing Inslollano? E L ? v Pnih ' ad Sigrumm ?Cnnn or Owner PeAorming Insbllafion) Phone No. lzm? ! . C..1 EB-01000IA-106/95 STATEBOI& CO"-SEEINSTPULTIONSOnnwcrtvr.cLw......r. _ ? II?IIIIIIIIIII II IIIIIII IIIIfi II? (?I ?I REUUEST FOR ELECTRICAL INSPECTION (EC?u'RS,??3 Minnesota State 8oard of Eledricity ? p 1821 University Ave., Rm. 5-128, St. Paul, MN 55104 .* 0- 3 3` e 4 9 8 1 * Phone (612) 642-0800 /9/5 ?C H Du lex Bldg Apt Other. ew Addn ome p . . 11 Commercial Indusfriol Form Remod Re air Air Cond. Htg. Equip. Water Hir. Lood Mgmt. Other. H Tem . Service D er Ran e Elec. Heat "X" above ihe work wvered by this request Enter remarks in this spoce and on the bock oi the whiie copy only. (? -t- I z; = fl2 -?-7 = 35 - alculate Inspedion Fee - 7his Inspecfion Request will not be accepied without the correct fee: Olher Fee # Service Enirance Srse Fee # Circuih/Feeders Fee Mobile Home Park Stall 0 b 200 Amps 0 fo 100 Amps Street Lig./Tmffic Sig. Above 200_Amps Abave 100_Amps Transformer/Generafor INSPECTOa'SU TOTAL ?O Lt Xf /O li S mr. ne g. ign W Alartn/Remote Conirol Swimming Pool ? h?reb ceni ? a? i'io: e?red e e?e ?wl ? mllo ? de??nbed harem o? ih? derei Sma Irrigation Boom Raugh-in Special Inspeclion Fl i ,11- Da? TM ?o ee lq iNR7ALLATION MAY BE OROERED DIS 14 _ ED WITHIN 1 MONTHS. LOT SURVEY CHECt(LIST FOR RESlDEIJTIAL BUILDING PERMIT APPLICATION 4 U ?(ay ? J U y?j ac J m m ? ? ? ? ? ? ? ? ? ? ? r ,? ? ? ? ? e1 ,a ? C??t7 ? ? ? ? ELEVATIONS Ebsdna • Sewer service (or Proposed) • Property comers • Top of curb at the driveway • Elevations of any existing adjacent homes ro as / zll? 1 ? ? • Garage floor • Frst floor a • lowest exposed elevatlon (walkoufArindow) ? • Property comers a ? ? • Front and rear of home at the foundation ? 2' ? • ? 12'-"13 . ? Q'0?113 . ? ? • 13 • ?? ? • ? • ? ? • C?/ ? ? • R1 ? ? • ? ?/'? ? . PONDING AREA (?f aoolicablel Easement line NWL HWL Pond # designation Emergency Overtiow Elevation DIMEiVSIONS Lot IineslBearings & dimensions Right-of-way and street width (to back of curb) Proposed home d(mensions including any proposed decks, overhangs greater than 2', parches, etc. (.e. all structures requiring permanent footings) Show all easements o( record and any Cily utilities withio those easemenTs Setbacks of proposed structure and sideyard setbacic of adjacent ebstlng structures Retaining wali Reviewed: January 1996 cRUCimera1=vaWr.M PROPERTY LEGAL: DATe'OF SURVEY: LATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building Permit Applicarrt • Legai description • Address • North arrow and scale • House type (rambler, walkout, splitw/o, split entry, lookout, etc.) • DirecUonal drainage arrows with slope/gradient % • Proposed/exissting sewer and water services & invert elevation • Street name • Driveway , 4 CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 8 4 8 (612) 681-4675 Date Issued: 0 9/ 18 / 9 6 SITE ADDRESS: 1848 CLIFF LAKE CT LOT: 5 BLOCK: 1 CLIFF LAKE SHORES P.I.N.: 10-17785-050-01 ' DESCRIPTION: (1 0F 4 UNITS) B,Gildin}' Permit Type SF OWG Buildirng Wark Type NEW "UBC Ocoupancy?". R-3 U-1 ConStructian Ty0,e V-N , Z-qning PD Buil;dingLength 44 Bui3din9 Wi,dth 30 B?+i-,J:.di;rn8°st.ories y.: r 2 C% Cade? - 102 1- FAM. ATTAGH ? REMARKS: ZERO LOT LTNE FEE SUMMARY: Base Fee Plan Review Surcharge SflC SAC ? SAC Units Subtotal VALUATION $868.50 $434.25 $48.50 $900.00 100 $2,251.25 $97,000 MISCELLANEOUS $1.923.50 Total Fee $4,174.75 GUNIFiAG1UH: - Fpplicant - ST. LIC QWNER: HOFFMAN HOMES INC' 18949807 0009284 HOFFMAN HOMES INC 2214 E 117TH ST 2214 E 117TH ST BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 ? I hereby ackn information i Statutes and? e e that I have rea:d this application and state that the -- cor ect and agree to comply with all applicable State of Mn, ty `'F Eag,6n" Orcli?nances. ' ,?- ISSUED B : 516NA R i6646 3830 PILI T KNOB RDN 55722 96 BUILDING PERMIT APPLiCATION (RESIDENTIAL) 681-4675 n ? 3 regislered sile surveys ? 2 copies of plan ? 2 copies of plana (include beam 8 window sizes; paured Ind. design; etc.) ? 2 site surveys (exterior additions 8 decks) ? 1 anergy calculalions ? 7 energy calculations for heated addilions ? 9 copies ot tree presarvetion plan if lol plaNed after 717/93 required: _ Yes No DATE: ffi 9/4 1 4 CONSTRUCTION COSA DESCRfPTION OF WORK: STREET ADDRESS: LOT 5 BLO 'V P:tK w/L, l$41 C LI ?? LAV?k C9-.F-T SUBD.IP.I.D. #: CL.tPF L1`+V"%r sonP.FsS PROPER7Y Name: i4orRr-ta?.3 ?K?? 'S-+?• Phone OWNER ^e, tmu Street Address: E- City: State: mk--l Zip:S`5,33-t CONTRACTOR Company: SANG Phone #: Street Address: License #: RZgi City: State: ARCHITECTI Company: M;,,Actn,AV.la 17E5"%6-j ENGINEER Name: L `f LL- Zip: Phone #: '(3`t-'kytA Registration Street Address 210"T rE '*Zt o City: ? HAa N^?EJ State: Hj Zip: S531'j- Sewer & water licensed piumber: `^;?E"Zjk'- Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the ' tio ' correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: ? # ? OFFICE USE ONLY RECENED CertiBcates of Survey Received 4- Yes _ No SEP 0 4 9996 Tree PreservaUon Plan Received _ Yes 4- No _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ aFFiCE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation a 06 Duplex ? 11 Apt./Lodging o p'' 02 SF Dwelling o 07 4-plex ? 12 Multi RepairlRem. ? O 0 03 SF Addition ? OS 8-plex ?.13 Garage/Accessory ? 0 04 SF Porch ? 09 12-plex ? 14 Fireplace 0 0 05 SF Misc. 0 10 - 15 Deck WORK .., E - ?z f?p ? 31 New ? 33 era Move 0 32 Addition o 34 Repair ? 37 Demolition ? . -?• .?.. . ??? ? . • 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Misceilaneous GENERAL INFORMATION Const. (Actual) zJrW Basement sq. ft. ? " MCIWS System r t Cit W ? (Allowable) -N Main level sq. ft. SaS a e y UBC Occupancy R•3 l!•/ sq. ft. g 7el Fire Sprinkiered Zoning # of Stories N•6 $- sq. sq. ft, ft. PRV Booster Pump Length 4/91 sq. ft. Census Code. l o Z Depth 30_ Footprint sq. ft. SAGCode 61 Census Bidg Census Unit ._.L_ APPROVALS, ` .:.:•...;;,...x ..... :..: . ... . Planning Building Engineering Variance 9 , ,., . Permit_Fee ? Surcharge Plan Review, ; .,.. License MCNVS 5AC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit SM! Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: G+ ? Valuation: - $ 7 AOC? L? Lm? 'Z? ?GOGl? ? / ? °k SAC SAC Units ._ r ?. !•1995 10:13 ' OWNER; 6129344305 MINNETONKA DESIGN EX7ERIOR ENVELOPE AVERAGE "U" COMf'Il7A;fI0N PAGE 12 nnT•r : 9 -1 -v`1 a SITE ADDRESS: PHONE: GONTRACTOR: i PLAN # Determine working square footage of each 1. Total exposed walt area..... 2.33(p sq. ft, x.lI = 25(p Mp 2. Total roof/ceiling area..... ??0Q) sq, ft. x.OZfi = 2?.CD Total exposed wa11 area above,floor- 7??:3?5S a. Total wa11 window area ................ . .. ?p?•I( b.? Total door area.. .. . .. ............................... ,,......... c. Totnl sliding glass door area .................... d. Total f9replace wall area...... . . . . . . ... e. Total wall framing area (average 10X)... .. . . . .................... VQ0 12 f. Total rim joist area... . ...... ................................... -z 9• net wall area above floor ..................................... h• walt area dboVe floor.._........ . ?• wall area a6ove floor.... . • ??????????????? J. frame wall area at fow-idation ................................... Total exposed foundation area= k. Total foundation window area ....................... 1. Total net foundation area above grade .............. Determine "u" (e.g, window, yalue of each wa]1 segment door, each separate wail section) a._ ipat,l? .. % „U., ? _ 51 01 • b. X „ull C. x „U„ . d, x „u„ ? e._ ?c1?•?--7 x u„ f. X Dul, , - z " 9. 1?21,5 I x „u „ h. X liuii _ i, X liuli _ J' x t. Lfu v k. X oil _ 1 . --- - X 3 . .................................TotaT = ti'X cl.' 7 If item f3 ts the saR as, or less than item N1, yau have met the intent of S8C 6006 (c 10:13 6129344305 MINNETDIJI<A DESIGN PAGE 13 . OTAI 6XpOStO ItOQP/ClII.INC CALCUlATI011S: •? ToCsl ucpOSed ' roof/ealllnn area........ „sq !! K{(.%:.. • %. )) Total skyllyht aroa....... sp ft x"U" ? -?-?--- v1 5. . k) Taal roof/Callln9 friw3ng araa (Ave rape s i q fC x•"U 11 Tota] nat insvlaited " . roof/cslt 1nq s erea...... . 4 ft x "U " ' . ' 4• • TO7AL J) thru 1) (f total of /q is the =ame as, or less than A2, you hava met the intent of • 2 :iCAR 1.16008 JA nd 0. , . • . • . . . A1:7EMA7'E $UILDINC ENVELOPE dE5tG1[ • • . ,. ? . . 7a atillsa the totsi anvnlope syste+n Nethod, •tAa valu'es estsb]•ished 6y thq sum ' of 1 taas P3 and 14 shal l not be greatec than the wm'of I tms N1 and !2. .. •- •. 1. • _ +2. - . ' . . • - ;, • • a- 4, . . ' • • • ' v . I i. , 10:13 6129344305 h1INNETOIIKA DESIGN PAGE 14 * LINEAL PE$T EXPOSED WALL BLOCK: KNEE: HAl,KOUT: EULL 1: FU[,L 2: - ' EIAEPLACE: RIM: -2-.?t * SQUARE FEET ERPO5ED AAi.L ABEA BLOCK:. x .5..? .. ; KNEE: x S - WALKOUT: x g . FULL 1: ? 37S x 8 a'`QA FU4L 2: )2..':?, x 8- i FIREPLACE: X o ; RIM • ?'-'?'`c? X A 2? I>? .. SQUARE FEET EXPOSEU CEILING IIOO ? WINDOWS: DOORS: 2?a? 14I 2g.? PATIO DOORS: "1?v 2o I y.? `Z? SIbL=UG??TS1? ? ?.>3 $ASEME:IT UNITS: SKYLiGHTS: . ., ? . ? . .....,. . . : ,. , . . a ? HOFFMAN HOMES, INC. 2214 Enst 117th Strect Telephone I3urnsville, MN 55337 (612) 899-9807 pax CONTRACTOR # 9284 (612) 894-9878 Mr. Joe Voels City of Eagan Plan Review Department Dear Mr. Voels, This letter is to inform you that Hoffman Homes, Inc. will be using the exact same plans for the layout for Lot(s) 5-$. Block l , Cliff Lake Shores, as were used on Lot(s) zt-Z1 Block 1 , Cliff Lake Shores. None of the structural building components, HVAC, plumbing or electrical will change from engineered drawings dated IP131 (q5' Sincerely, ? Patrick C. Hoffman President PCWjem Pch/eng1U PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: Bu ILo x N G? 0 2 8 8 4 9 0 9/ 18 / 9 6 SITE ADQRESS: 1850 CLIFF IAKE CT LOT: 6 BLOCK: 1 CLIFF LAKE SHORES P.I.N.: 10-11785-060--01 DESCRIPTION: oF 4 uNZTS) Permiti Type 6pj.l.zli ai46 - SF OWG , rk Type NEW i'kJBC 4Y'b'qk#466'ju, R-3 ll-1 V-N ? PD 44 30 2 102 1 - FAM. A77AGH ? ?? 10100,7 "'60 , if? :?t? ? REMARKS: ZERO lOT LINE FEE SUMMARY: Base Fee. Plan Review Surcharge SRC 5AC 9s 5AC Units Subtotal VALUATION $8&8.5@ $434.25 $48.50 $900.00 1@0 1 $2,251.25 $97,000 MISCELLANEOUS $1,923.50 Total Fee $4,174.75 CONTRACTOR: - Applicant - sT. LzC OWNER: HOFFMAN HOMES IPIC 1$949807 9009284 HOFFMAN NOMES INC 2214 E 117TH ST 2214 E 1177M ST 8URN5VTLLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 C " T hereb, iriforma? ,?tatute? L, _ 1 IM?I1 ??? ' 111? -1SSLTED BV SIG ATURE-t CITY OF EAGAN 3830 PILOT KNOB RD - 55122 =? `t? ??'T• ? 996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 10049 ? 681-4675 New ConsWClion Reouirements RemodedRenair Reauirements ? 3 registered aile surveys . ? 2 copies ol plan ? 2 copies ol plans (include beam 6 window sizes; poured (nd, design; elc.) ? 2 site surveys (exterior addilions 8 decks) ? 7 energy calculatlons ? t energy calculations for healed addilions ? 3 copies ot tree preservelion plen if lat platled afler 717193 required: _ Yes ^ No DATE: y I4I44 CONSTRUCTION C05TI 9}Jooz? DESCRIPTION OF WORK: To..J,.) NyA6 STREET ADDRESS: uf" e,?' LOT 4 BLOCK I SUBD./P.I.D. #: 14s .eA G?1FE 4fKfr Srk?1sS PROPERTY Name: i-Io?Rr-taa ?-1?r«S ??• - Phone #: OWNER us Street Address: Zz%A rae CItY: State: my-? Zip: 5533} CONTRACTOR Company: SANe ' Phone #: Street Address: License #: 4 Z S* City: State: Zip: ARCHITECT/ ComPanY: 0e5k(--1 Phone #: ENGINEER Name: L'IL.L- Registration #: StreetAddress• Clty: Cr?f•JNA'?66J State: Mj Zip:553t"i- Sewer 8 waler licensed plumber: `":6''' Z.F-1' Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the ' rm is orrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signalure of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging 0 oer02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 0 03 SF Addition o 08 S-plex o 13 GaragelAccessory ? a 04 SF Porch ? 09 12-plex ? 14 Fireplace 0 ? 05 SF Misc. 0 10 = plex 5 Deck WORK TY ??i?o ? G o r ?? i?!£ ,d-'31 New o 33 Alterations ove ? 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth Basement sq. fl. ? Main level sq. ft. 2 as sq. ft. sq. ft. y sq. ft. sq. ft. 30_ Footprint sq. ft. APPROVALS Planning Building Variance ? oz o/ .--?- p.4 tr m Permit Fee Surcharge Plan Review. ;,. License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Pertnit ' SIW Surcharge Treatment PI. ., ? Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: ? Engineering g 7 0? ? fC, L " - 2,1 t ?? ?,oCGI. ? 4 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit 9G 0Gh-? ?/ % SAC' SAC Units CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: euxLoING Permit Number: 0 2 8 8 5 0 Date Issued: 0 9/ 18 ( 9 6 ? SITE ADDRESS: P.I.N.: 10-17785-070-01 DESCRIPTION: 1852 CLIFF LAKE CT LOTe 7 BLOCK: 1 CITFF LAKE SHORES (1 OF 4 UNIT5) Building.,„,Permit Type SF DWG ,8uilding 4Qrk Type NEW `UBG. Occupo;:nG3t-,? R-3 U-1 Cornstruction Type V-N ZQning.- PD BuildiFlg Length 44 Sui,lding Width ` 30 butj:dirtg stories 6 z Ce'k?yus Cod? 102 1- FAM. A7TACH . Bs 'tiJ,; .. ? _ REMARKS: 2ER0 LOT LINE FEE SUMMARY: Bese Fee Plan Review Surcharge SAC SAC ? SAC Units Subtotal VALUATION $868.50 $434.25 $48.50 $900.00 100 1 $2.251.25 i it e?:` L..F " $97,000 MISCELLANEOUS _ $1,923.50 Total Fee $4,174.75 CONTRACTOR: - Applicant - s7. I.IC OWNER: HOFFMAN HOMES INC 18949807 0009284 HOFFMAN HOMES INC 2214 E 117TH ST 2214 E 117TH ST BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 I hereby acknow ed e„read this application and state that the infor??mation?f coe'"tocomplywith all appl'zcable `State o"f Mrr. " Statutes and itq n.ances. L ?? CANT/PERMITEE ISSII D?r': SI ?NAT URE? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 t :: < < 996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ioeso J 681-4675 New Conalmclion Reauiremenls e modeLReoair Reauirements ? 3 regislered aita surveys , ? 2 copies oi plan ? 2 copies oi plans (includa beam 8 window sizes; Doured fnd. design; etc.) ? 2 site surveys (exterior addkions 8 decks) ? 1 energy calculations ? t energy calculations for heated addilions ? 3 copies o1 lree preservation plan if IM platted aNer 711193 mquired: _ Yes 4 No DATE: CONSTRUCTIONCOST: ???',ooo DESCRIPTION OF WORK: STREET ADDRESS: LOT ? BLOCK , .? .? . i . SUBD./P.I.D. #: O}o - ? 1 "tFF Le?vsw S+7a?GS PROPERTY Name: -HoFFrtaa No+-«S z?• Phone OWNER "I, Street Address: City: State: m+J Zip: 5533-,t CoN7RACTOR _ Company: SAMC ' Phone #: Street Address: License #: 4 ZS ? City: State: Zip: ARCHITECTI Company: M; u)4Ctn0Kh De5k6%J ENGINEER Name: L y 4c Street Address- CItY: C .1AJ NA'.?aE.J Sewer 8 water licensed plumber: `^X"Z.F-" change are requested once permit is issued. Phone #: 93`t' lt?kP Registration #, S.ak re #`Zlp State: M-i Zip; 55Wi- Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that th ' 1iori pis rrect and agree to comply with all applicahle State of Minnesota Statutes and Ciry of Eagan Ordinances. ,? ,? ? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Yes No _ Yes _ No ? ' ?.,. OFFICE USE ONLY .. . : ;: : . . ' BUILDING PERMIT TYPE . 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging 11 ?02 SF Dwelling ? 07 4-piex ? 12 Multi Repair/Rem. ? 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 0 04 SF Porch o 09 12-plex ? 14 Fireplace 0 ? 05 SF Misc. ? 10 - lex ? Deck WORKTYP ??/LD - C-or ' eiors? ,00- 31 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Adual) (Allowable) UBC Occupancy -J -/ Zoning -a # of Stories ? Length y4' Depth 30_ APPROVALS Planning . . .. ? ? , . ? . .. ?? ry , . . 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous ?A ? Basement sq. ft. MCNVS System J Main level sq. ft. ? City Water ? sq. ft. 4J7y Fire Sprinklered sq. ft. PRV sq. ry. Booster Pump sq. ft. Census Code. /oZ Footprint sq. ft. SAGCode Census Bidg Census Unit t Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City 5AC Waler Conn. Water Meter Acct. Deposit SM! Permit SNV Surcharge Treatment PI. ,. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC' SAC Units ? Valuation: $ 4,"'' ? /4; 410"f. 4 ?.. . :' OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ( 1 0 F 4 &u?ildariq_Permit Type Building`Work Type UBC (iccupan .cyt` Construction Typ„e Z'oning Buildinglength Building Width Building stor`iess C?en SUS Cbde ' PERMff TYPE: Permit Number: Date Issued: ? BUILDING 028851 09/18J96 SITE ADDRESS: 1854 CLIFF LAKE CT LOT: 8 BLOCK: 1 CLIFF LAKE SMORES P.I.N.: 10-17785-080-01 DESCRIPTION: UNITS) SF DWG NEW R-3 U-1 V-N PD 44 30 2 102 1 - FAM. ATTACH ? REMARKS: ZERO LOT LINE FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal PERMIT VALUATION $668.50 $434.25 $48.50 $900.00 100 1 $2,251.25 $97,000 MISCELLANEOUS $1,923.50 Total Fee $4,174.75 CONTRACTOR: - Applicant - sT. LIC OWNER: HOFFMAN HOMES INC 18949807 9009284 HOFFMAN HbMES INC 2214 E 117TH S7 2214 E 117TH S7 BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-9807 (612)894-9807 I hereby acknowledo-e that i have read this application and state that the informatYt?n is rr ct and agree'to comply'with all applicable S'tate"ofi Mn. Statubes and 'ty o Eagan Ordinances. 4 E Y: S NATURE l CITY OF EAGAN 4 3830 PILOT KNOB RD - 55122 "j ?g 1996 BUILDING PERMIT APPLICATION (RE5IDENTIAL) 681-4675 New Constmdion Reouirements RemodeUReoair ?eauirements ? 3 regislered aile aurveys . ? 2 copies of plan ? 2 co0ies of plans (ineluda beam S window sizes; poured Ind. design; etc.) ? 2 slle surveys (exterlor additions & decks) ? 1 anergy calwlalions ? 1 energy calculations far heated additions * 3 capies af tree pteservatio lan tf Ipl platted after 7I1193 required: _ Yes No DATE: 9114 J.RIP CONSTRUCTION COST: -1 'R}j0e0 DESCRIPTION OF WORK: STREET ADDRESS: {E.S ? DEA u '\ o...i,.1t{nY?E t854 Ct-lPf- L-p,X.C- LOT t_ BLOCK 1 SUBDJP.I.D. #: PROPERTY Name: i-1o?Rr-t+??a ?r«s .?-?• Phone #: OWNER ""`• Street Address, zz?t E• ? ??'?"' s-ca.r?.? . City: a*'-"S`' •`?' State: my--? Zip: 5533 CoNTRncroR Company: SAAC ' Phone #: Street Address: License #: 42gi City:. State: ARCHITECTI Company: H ; .,?+ri.>ar.n Des'%u?J ENGINEER Name: _ L'f ur-- Zip: Phone #: 23`t' 11`kp Registration #: Street Address rE City: ? H? NASSEJ State: K? Zip: S53t?" Sewer & water licensed plumber: `^3E"'2.F-k- K4,c''' a*'k change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Pian Received Signature of Applicant: _ Yes No _ Yes _ No ? Penalty applies when address change and lot t ation is orrect and agree to compVy with all . OFFICE U5E ONLY BUtLDING PERMIT TYPE 0 A 0 ? ? 01 02 03 04 05 Foundation o 06 Duplex ? 11 Apt./Lodging 0 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? SF Addition ? 08 8-plex ? 13 GaragelAccessory o SF Porch o 09 12-plex o 14 Fireplace ? SF Misc. ? _ ? Deck WORK TYP /Z6 - Lo T- L/m+/C ,i!?- 31 a 32 New Addition ? ? 33 34 Alterations Repair ? 36 ? 37 Move Demolition GENERAL INFORMATION Const. (Actual) -C-N (Altowable) •?? UBC Occupancy R3 ? Zoning ?...b- # oi Stories Z Length w_ Depth po Basement sq. ft. Main level sq. R. sq. ft. sq. ft. sq.ft. Sq. ft. Footprint sq. ft. APPROVALS ; , Planning Building Permit,Fee ',.. Surcharge , Plan Review, "License MCNVS SAC ' - ry- city sAc Water Conn. Water Meter Acct. Deposit S/W Pertnit 5!W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Olher Copies Total: o? / ?- Valuation: $ 13&o ? ? r 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous 4_ MCIWS System geS' City Water Fire Sprinklered PRV Booster Pump Census Code. SAGCode Census Bfdg Census Unit Engineering Variance % SAC SAC Units " I ?d,?? L BL CITY USE ONLY RECEIPT #: ??F "? PoLLC o?l _L SUBD. 0YW DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? single family dwellings ? ? townhomes and condos when permits are required for each unit New construction Add-on furnace _ Add-on air conditioning _ Add-on airexchanger, i.e. Vanee system, etc. Date: /0 'ASA ? Minimum Fee: Add-onlRemodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 *00'/ Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL a? SITE OWNER INSTALLER PHONE#:/b6l 7 STREET ADDRESS: 1-16'a' ! r(/v/r . o ?qilr?• /)//I4 S. STATEJVA1, ZIP: SS?fU CITY: PHONE #: ( ) ? ?'?CaG CITY USE ONLY L CF BL RECEIPT SUBD. C?t DATE: 40? 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? ? townhomes and condos when permits are required for each unit . New construction Add-on furnace _ Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: ID'.R S' '? (o ? Minimum Fee: Add-on/Remodel (existing residence only) ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge TOTAL SITE ADDRESS: I 6 SD &/1?j0 OWNER NAME: 1) rrtn /y dI I4DMIC, S_?L INSTALLER NAME: STREET ADDRESS: L (64-1 FEES $ 20.00 24.00 6.00 .50 ?7 50 #: ? 7 CITY: STATE:M /l, ZIP: t?54'61 1- PHONE #: ( CITY USE ONLY L BL RECEIPT #: SUBD. DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for:.? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: / d' i? 1' 94 ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 ? Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) .3V.- ? State Surcharge .50 TOTAL A r SITE ADDRESS:_? OWNER NAME: INSTALLER NAME:_ STREET ADDRESS:. ciN: MPo, ;Sp 049 /6 U ' GeP/1? /7 ki f 1.4Y1'f CS -;n&. PHONE #17%9_0/ ?Ni CT? Go IILt? STATE: 1'? ZIP: PHONE #: ( ) '?b !?r` 4 U ? ? ' CITY USE ONLY L ? BL RECEIPT #: SUBD. a ? DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit 17/ New construction Add-on furnace Y Add-on air condition;ng Add-on air exchanger, i.e. Vanee system, stc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 _1? Additional 50 M BTU 6.00-- ? Gas Outlets (minimum of 1 required @$3.00 each) u;.?i ? State Surcharge .50 TOTAL 07 1 51TE OWNER Sy 6?1 rez .? A ?m MmU B1l/YYI eS _.L/JC, PHONE #: INSTALLER NAME: STREET ADDRESS: ' cirY: PHONE #: ( S O STATE: ?/l/? ZIP: ? - - -- _ - ' ? CITY USE ONLY L BL ? • RECEIPT#: SUBD. ? RECEIPTDATE: I/V 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 65122 (612) 681-4675 Please complete for. . single famfly dwellings ? ?_' k +< ? ? townhomes and condos when permits are required for each unft < . backflow preventer for underground sprinkler system : . FIXTURES EACH . ?j ,.' ?/???? td, S a F• . "Shower ,. 3.00 x Water Closet 3.00 x ?_ ' _ `ar?•9, ???ro?,a ! ,?? ., . ? Bath Tub 3.00 x 3,00 r?• Lavatory 3.00 . x Kitchen Sink 3.00 x Laundry Tray 3.00 x ? Hot Tub/Spa 3.00 x Water Heater 3.00 x nr >:. Floor Drain 3.00 x Gas Piping Outlet • minimum - t • 3.00 x ' Rough Openings 1.50 x - Water Softener ' for dwellings undar constmcGon 5.00 x r'•. ' Water Softener ' for existing dwelling 20.00 x v U.G. Sprinkler ' for dwening under const. 3.00 ? U.G. Sprinkler 'foraxistlngdwelling 20.00 Alterations • ro exisan9 reateence 20.00 Water Tum Around ? 20.00 Private Disposal System ' Dak Cty Iic. 75.00 - ' i' '"?`?`?r? • (new Bnd reNrbished systems) ?.?i?y?.q Private Disposal Systems' abanaonment 20.00 <?! `??? STATE SURCHARGE • 50 TOTAL I hereby adcrrowledge that I have read this epplicalbn, sWte tAat the infortnetbn fs corted, and egree to comply wkh all appliceble City . .. M Eagan ordinances, k is tM applicaM's responsibillry ro notiiy the property owner that the CNy of Eegan assumea na Ua611ity for any . ? damagea caused by the City during its nortnel operetlonal eM maintenence actlvities to tha feGlitlas consWded urMer thls pertnk within Cily pioperty/rlghbo6way/easement . - ? t SITEADDRESS: ; OWNER NAME: O AiU 61NE ',:` INSTALLERNAME: E.A?EC. ECI? d1/C+?C?TELE HONE#: ? 9 HAGvNE? . ' '' STREET ADDRESS: ' ac;'r?"?`• ? ' CITY ?GAN STATE: ZIP t?Y¢4?r C ?fl' .! 4 4iM1 d 1? f? Y{4?' f' }4 t]??i??.?'1?, •<?? . ? ?:? ?? ? ?T.r???k. SIGNATUREOF PERMITTEE*4'??`? „ . o ?. ?'RO?;Y'il..?ap'iIf'-KL?FReR ^,?L "•. i. , C - .! t • ?: V . , ... .. ,'' r • ',.R , nini ?"1`A???S??A?. ,?4E?N b? ?. . . .. . _.. . , 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN • ' ???`,?`?; )Y i+ ' 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 887-4675 Please complete for. . single family dwellings • townhomes and condos when permits are required for each unit , •<, • backflow preventer for underground sprinkler system FIXTURE3 ?q??? laOYl1 "v .J.SCJ.C? Shower 3.00 x. • Water Cioset 3.00 x ? OC Bath Tub 3.00 x _L - 3 oa Lavatory 3.00 x _?_ 9 oD r N^ J: Kitchen Sink 3.00 x,?_ '' . Laundry Tray 3.00 x Hot Tub%Spa 3.00 x Water Heater . 3.00 x Floor Drain 3.00 x I GBSPipingOutlet •minimum-1 • 3.00 . x Rough Openings 1.50 x WaterSoftener 'Pordwellingsunderconstruction 5.00 X , Water Softener *f0r 9XI8ting dwBlllllg 20.00 X U.G.Sprinkler •foraweutngunderconst 3.00 U.G.Sprinkler 'forexisdngdwelltng 20.00 Alterations " to exisnng reawenee 20.00 , ..r,,.. ' Water Tum Around ? 20.00 Private Disposal System ' Dak Cty lia 75.00 (new and returbished systems) : Private Disposal 5ystems • nbandonmenc 20.00 STATE SURCHARGE • .60 TOTAL ?Z•? I hereby acknovAedge that I have read this appiieatbn, state that the fnfortnetlon is corted, and agree ro compty with all applicable City ... of Eagan ordinances. R is the epplicanPs responsibility to notify tha property ownar that the Cfty of Eegan asaumes no liablliy for any . ? demages caused by the Ciry during its normel operodonal and malntenance adivlUas to the tecllftlea conshuded under thle permtt wtthin m ' CkYProPBrtY/righto6way/easemenL /? • . ?':.' r?ti .??;?,. SITEADDRESS: FI1?ta/U a??5 , ?,•s,: OWNER NAME: , INSTALLERNAME: TE EPHONE#: STREETADDRESS: /?A?wN?? CITY ' -7 .4loi4YV STATE: u u?itr„? ? ,4 ` (rL SIGNATURE OF PERMITTEEe V/?LBL ? CITY USE ONLY • • SUBD. RECEIPTR: , RECEIPTDATE: -? . 1997 PLUMBING PERMIT (RESIDENTIAL) }CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please compiete for. . single famity dwellings • townhomes and condos when permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES 3 ZQ? : Shower t . ,. x Water Closet ' 3.00 x 13 _ 47,00 Bath Tub 3.00 x _L = oa Lavatory 3.00 x _3 = oo , . Kitchen Sink 3.00 x ? 3.00 - ' Laundry Tray 3.00 x - Hot Tub/Spa 3.00 x = Water Heater 3.00 x = 3? : Floor Drafn 3.00 x Ao " Gas Piping Outlet ' minimum • 1 • 3.00 x = 9.00 Rough Openings 1.50 x = Water Softener ' Tor dwellings under cons[ructbn 5.00 x = Water Softener ' for existing dwetling 20.00 x U.G.Sprinkler 'tordwellingunderconst. 3.00 = U.G. Sprinkler ' tor existing dwelling 20.00 AItEfBtions 'to existing resWence 20.00 Water Tum Araund ? 20.00 = Private Disposal System * Dak cry na 75.00 = (new and rePorbished systems) , Private Disposal Systems"anandonment 20.00 _ STATE SURCHARGE - .60 TOTAL 4z.? ' I here6y ecknoxAedge that t have read this epptication, atate thet the iniormation Is aorrect, and egrea W cmnpy wRh all eppliceble City . M Eagan ondinances. It Is the appliceM'o respanaibility lo notify tha property awner that tha City of Eagan essumes no Iiabiiity for any , damagea ceusad by tha City during Its mrtnal operatlonal entl malntenence acWXfea to the tadliGes construcMd under this partnk within Cily property/rightaf-wey/easement. `? ? ' L Y ? gS ? ? ; ? , y. ? • ` c/ T SITE ADDRESSr !JN o7yl?S OWNER NAME: ,? ?',' INSTALLER NAME: VAENZEZ IYIEL1f4N? STREET ADDRESS: -? 95? SHA-WN?? s,,: ciTir ; ??AG?n? srnTe: ' ? . . l yc ...? :.-? • ?; ,.. , ; ; ?? • ?' '. SIGNATURE OF ,••, . ,. ,?? +; ? ? .. ?., . ... :'?...., ._. ... . . . . . : .:. . ., f'Y:':;^,?? CIT USE ONLY Y L ? BL RECEIPT#: SUBD ?¢ )a ._? + .- RECEIPTDATE: ,. , 1997 PLUMBING PERMIT (RESIDENTIAL) ? CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 ' (612) 681-4675 Please compiete for. ? sfngle family dwellings w townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system . t F E EACH y4, TOTAL '• Shower 3.00 x waterCloset 3.00 x ? = 9•on Bath Tub 3.00 x Lavatory 3.00 x 3 = ? Kitchen Sink 3.00 x Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x 1 = 3.aD Gas Piping Outlet " minimum - 7 . 3.00 x Rough Openings 1.50 x = Water Softener "for dwellings under consWCtion 5.00 X = Water SoRener ' for exisBng dwelling 20.00 x. U.G. Sprinkler ' for dwelling under conat 3.00 = ... U.G. Spdnkier ' for existing dwelling 20.00 ' . =. , Alterations " to existing reaMenee 20.00 Water Tum Around . 20.00 = ? Private Disposal System " Dak CtyIlc. 75.00 = (new and mfurbished systems) - Private Disposal Systems • nnandonment 20.00 = STATE SURCHARGE • .50 ' TOTAL I hereby acknowledge that I have read this epplicatbn, stete tAat the Infortnetlon Is correct, arM egree to wmply wtth all appliceble City . , of Eagan wdinances, ft is the applieanPS responsibility to notity the property oxmer that the City of Eagan easumes no liabilily for any damages caused by the Cilyy duriig Ils normal oparational and melntenance acWitles to the Tacilitiea conaWCted under this pertnk within Ctlypropertyltipht-of-wayleasement SITEADDRESS gS ?l L?j-KE' l..T ' DWNER NAME: , OFF1IRAJ D/HES .i INSTALLER NAME: WLNZi5C_. /'/E4U?L ?T?ELEPHONE #: 'STREETADDRESS:I9.S9HAc??V? STATE: /!?? ' ' L 5 s SL1BD NEW RECEIPT tf 7o'Cp2 Jd RECEIPT DATE y???/r7 DATE ?C ( TO JO OW PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE ELECTRICAL INSTALLATION IN TAE AMOUNT OF $ :3<?' SHORTAGE MUST SE PAID WZTHIN 14 DAYS. REMftRKS 0 - 30 AMP CIkCUITS = / 31 - 100 AMP CIRCUITS = 7 7 0 - 100 ABfP SERVICE _ - 2 _ TOTAL FEE DUE _ LESS FEE RECEIVED l z TOTAL rEE SHOKTAGE DUE = l PERMIT 11 ? ORIG RECEIPT RECEIPT DATE 0lSl? ??r? PLEASE RETUkN A COPY OF TAIS FORM WITH YOUR BEMITTANCE. THANK YOU! . ,.:..? ?,M..; . L c.l? B_L SUBD_ (/, O?L? NEW RECEIPT # 8D5/D RECEIPT DATE DATE TO 1<1+P2e,?/G Lc ?- /EC ?l?i C? sos I?5 o C i; f? .?.ke ?? OWNER A/d jc't-r /ii O^- ?=vl4z f S PLEASE BE ADVISED THAT THBRE IS A FEE SHORTAGE ON 'PHE ABOVE ELECTRICAL INSTALLATION IN THE AMOUNT OF $ 3'?2 l;104 0- 30 AMP CIRC[7IT5 = 31 - 100 AMP CIRCUITS 0 - 100 AMP SERVICE _ 1_101 - 200 AMP SERVICE _ Z-C::, TOTAL E'EE DUE = f e?l 7 - LESS FEE RECEIVED 7 ? TOTAL FEE SHORTA6E DUE PERMIT # 336 "271 ORIG RECEIPT # RECEIPT DATE /O l:0lk PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE. THANR YOU r. '7 BL SUBD NEW 4RECP?T* S'6516) RECEIPT DATE S r7'/5? 7 DATE TO Ie C sos /8'5'Z G/,' t`r4 OWNER //O tCJc/h er r- ?elf PLEASE BE ADVISED THAT TBERE IS A FEE SHORTAGE ON THE ABOVE ELECTRICAL INSTALLATION IN TSE AMOUNT OF $ 3z?p RE[+ARRS IG 0- 30 AMP CIRCUITS / 31 - 100 AMP CIRCUITS = 7 0 - 100 At+P SERVICE _ / 101 - 200 At+P SERVICE _ -;?- a TOTAL FEE DUE _ / r,, ';7 - LESS FEE RECEIVED 7 7 TOTAL FEE SHORTAGE DUE _ 3 a? PERMIT # .33 61- - 5 00 ORIG RECEIPT # 65 ?3 Y R8C8IPT DATE 10 / ? PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE. THANR YOU L Y S__L SUBD . NEW RECEIPT # y051o RECEIPT DATE ? (?/1 7 DATIs TO 1r6 :'C e?-. JOB f el /i jC1C ?-d?G+ C' ? OWNER i'r.z PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON TSE ASOVE ELECTRICAL INSTALLATION IN THE AMODNT OF $ -?-5- RENIP,RRS 17 0 - 30 ANP CIRCUZTS = ??jY 31 - 100 AMP CIRCUITS = ? 0,- 100 AtdP SERViCE _ ? 101 - 200 AL«P SERVTCE _ TarAr. mi ntE _ r.sss FEE Rica2vEn 2 0 // z - 77 TOTAL FEE SEiORTAGE DUE kRL+fIT # 33 4- ? c?>/ ORIG kEC:kIPT # RECEIPT DATE PLEASE RETURN A COPY OF THIS FORM WITS YOUR REMITTANCE. ? THANR YOU am, `-14> Clty Of ?ap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?----------------- ? F'gr;Of?i?.cenlis"e I I P ' ? Permi[ #: ( I ? ? Permit Fee: I ? Date Received: Gxl- ? I i i I Staff: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ? i?1 1 C'J Xf? Date: SiteAddress: Tenant: Suite #: C+_ RESIDENTIOWNER Name:Ctl4 wt,tZ SY? `vU,JVIhOWU-S Phone: Address / City / Zip:.l?0 CAlFk L-4z Ll ? 019avi 55iaa -2-425 Applicant is: _ Owner _?L Contractor 0 ,-. nn --- ?` Q< Ilt ? u s . S ?' bil ? ? TYPE OF WORK n - { , C V1G O Description of work: n Construction Cost: 4? 4 4 j CO Multi-Family Building: (YesNo? CONTRACTOR NameArkY1CaY1 /'??xbd?i ync? License #: 401 (d5M Address: ?(po ZcA.DLIC.(Cl.? I+(.? • f'? Loo State: ?n+ Zip: ?3J Al3 &4 < <4 Cit - c y: Phone:"l5a' - I En 'v`Sl ContactPerson: IU1aAa' Scv,-?(Ar COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 EnefcJy COdB . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet Category Submittetl Submitted (4 submission type) • Energy Envelope Calculations Submitled In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Flansiand-§upporting documeri"ts tbaf you submit are cons?dered to be publfc Info?matron a PorHOns of ? the infermafion may be c'lassified as,non p?Yblrc;iftyou proveoe $pectte'c re"aso?r3 that would permrt tMe Crfy to . ,., ,. . `c'onohl`de"4?at4h? 4re?trade,sear.efs I hereby acknowledge lhat this intormation is complete and accurate; ihat Ihe work will be in confortnance with the ordinances and codes of the City ot Eagan; that I understand this is not a permit, but only an application for a permit, and work is not ro start without a pertnit; that the work will be in accordance with the approvetl plan in the case of work which requires a review and approval oi plans. x?G.?/IG S??c Q i?Q t? x ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 ?vvo swvivt,l? iitit? yvi1?L11`I V YN:2iMU1' AYYLl(:Al1VLV /l City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 i Telephone # 651-675-5675 FAX # 651-675-5694 Nax Canstrudon ReauiranenG RemadellReoair Rmuiremen6 Oflfw Use OnN 3 registereC sde surveys sMwing sV. 3 of lat sy R M hase arid g raoted areas T capias of plan showvy foofings 6eams. jdsts Cert of Survey RxC Y ry (20%maumum lot cpverage atlowed) 1 set of Energy Calaiatlans for heamE addi6ans Trea Pree Plan Recd Y N 2 capies W Plan showing heam & vnndow sizes: Pared faund dmign, elc. 1 sife survey fcr additians 8 detlcs Treo Pres ReQUired _ Y_ N 1 setafEnergyCalala6ons ACdiUon-inCicaleifontifesapdcsy.stem On-sitaSeptlcSystern _Y N 7 wpies of Tree Presxvatlon Plan iFlot platted afler 7193 Rlm Jast DetaA Optlons selection sheat (huddings with 7 or les wi1s) - Minnegasco mechanical veatilazion fo'm Date /40 / 01 / 03 Sit Add Constmction Cost ?-?-- e ress Unit/Ste # lSyg i 8'6a Description of Woric ( Y/_ N Multi-FamHy Bldg -LJ Finplace(s) _ 0 _ 1_ 2 Property Owner Telephone # (g? ?c.J?/ ? !U!(L 7 Contractor .(ItJU',UVI?Y • Address S5-5? L C:ty Sta[e ? } Zip Teleuhone 4 !. L i COMPLE7E T7-]IS A]ZEA ONLY 1F CaNST72lJCT7iVG A NE51V BUBLDfNG - Vfinnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category . Residentisl VerNlatlon Category i WoAaheet • New Energy Cotle Worksheet (4 submission type) Submit0ed Subrttittetl • Errergy Emelape Calalatlona Submitled In the last 12 monThs, has The Cifiy of Eagan issued a pertnit for a similar plan bated on a master plan3 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanicai Contractor Sewer/water Confractor Telephone #( Teiephone #( Telephone #( ) I hereby appiy for a Residenrial Building Permit and aclmowledge that the infonnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a perinit, but only an application for a permit, and work is not to starr without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approvai o plans. al ? VOhs AQplican 's Printed Name AQpGcant' Sigaeture i CER TIFICA TE OF SUR VE Y ? . , , '•- ? / W ? V ? ? ? ? Jp.e`B (932.0) ` 932.5 ?. / / - (932.3) 932.6 \ ? (9Jd1) x ? QP , , ; , . . Proposed Curb / ond Gutte? A , , ? ? ? ? ? / sb+ ? ? ?? •. ??'?" / 9Jd0 ?0? b. ? \. Zq? ? ? A ??\\ ? \? /? 6 ?.00 ? 928.0 . O / 2Qoo ?? olh =I 9J?.? ?' 7 7852 ??E \ ? 78? 5 9?? ?0 () / ?O Os oa \ l.O ' ?,( ?? O ? ? VR 4v. sza.o ???, ?F zpoo / i ? . . i ? ? 8s ^ \ ?? ? / \ ? ? za p? ' ?Q / O? \\? g 7 U h ? \ s.T o00 , 9.33.2 ? kk?! ds rc `? ? `. ? ? . (0,? 928.0 ? ?93 / ? 3i J p? rC ? / Ap?d1 \? i? 55i ? Proposed Curb ond Cutter- a ?T+nP\?\t! ? ?. , - / / - LEGAL DESCR/P710N: Z,, yF- Lots 5, 6, 7& 8, Block 1, CL/FF LAKE SHORES, according to the plat Z0 J thereof, Dakofa Counfy, Mrnnesota ? 930.0 Denotes Sanitary • Danotes iron monument found o Denotes iron monument sat Bearings bosed on ossumed datum. I hereby oertIly that this survey was prepored by me or tinder my direct supervision ond that I am d 9uly Registered Land Surveyor under fhe laws ol the State o/ Minnesota. ( IN FEET ) 1 inch = 20 ft. rop of Block = 934.50 Garoge Floor = 934.20 ,? 0 aP i , R QP ? ? ? ? 40 O J 0 9JJ.9 \ ... , . o (933.7) ;..?? O ,, ?ry/ ? " 933.7 ,. . ?- ? 9q, A'S / ??.• (933.8) 933.2 / ,-r :? / ., 2 ? 0 of lrons @ Offsets 15.00' Offsef 931.862 15.00' Offset 933.89,, 15.00' Offset 933.32' t 15.00' Offset 932.70 ; i. 865.0 denotes existing e/ev. (865.0) denotes proposed elev. ? -•- denotes sur-face drainage: . REQUESTED BY: HOFFMAN HOMES 1NC. . Wostwood Professronal Servrces, Inc 14780 West Trunk Hwy. 5 Eden Proirre, MN 55344 (612) 937-5150 8122196 add existinq elevations Drown 6y. M$ Dote: 5110196 ?ob No: 95198 Lots 5-8, Block 1 auos-nR.nur, / i / i i GRAPHIC SCALE Oct 07 2014 0823AM HP Fax page 4 Use BLUE or BLACK Ink r----------------- � For attice Use � � j Permit#: l��lQ V`f' j Clty af �a�a� � .r�— �� Permit Fes; J �,�� 3630 Pllot Knob Road Eagan MN 55122 � Date Received � Phone:(651)675-5675 � � FaX:(651)675-5694 I Staff: I i I v��..��-��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: A�13P� �.' � Site/+ddress:�� . 1��!I�St1 ��`� �� `-') �_ ��n: � S �n" I Name: ��0�- , �'��-`-=�• �L�� ; �. �� Phone: Resident/ Owner Address/City/2ip: ' �i g'7Y7� Applicanl is: Owner �F�'��Contractor ,�.-.;__. '�` Type of Work Description of work: �- � �, � � '�1� /G L� 4r �� Construction Cost; 5 � Multi-Family Building: (Yes �''�/No_� Company;,�°'`H " �'r`-� �;1��"-.�c�,�t,a�'1��;Z�''�da�c;s�:� Contaci: �w �:�7�e,r-�•:�..-.,-. ContraCtOr Address:�'� ` Oo'a��d�,;�: `.av" :^ ;�.�'�� City: �f�1'�-''J r.�� State��'��,F Zip: �')�'• ��I Phone: � P`�� ,�Email: aa%�;��..��.`��r.�`c°�rF .'� ��.�f�- �icense tt: t=r�.= �'��'?�'�'�`,� Lead Cehificate#: �'�f�=��`-�>-�'-i� � � If the project is exempt from lead certlfication, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last t 2 months,has the Clty ot Eagen iasued a permlt tor a similar plen based on a master plan? _Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:P/ans and support/r�g document9 that you submit are cons/dered to be public informaflon. Pprtions of the intormatlon may be classified as non pub/ic ff you provlde spec/f!c reasons that would pe�mlt the Clty to conclude that the are trade secrets.. CALL BEFORE YOU DIG. Call Gopher State One Call at 651 454•0002 for rotection against underground utilify damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. v:tivw. o herstat�cnecall.oc I hereby acknowledge that this information is complete and accurate; that lhe work will be in conformance with the ordinances and codes of the Clty of Eagan; Ihat I understand this is not a permit, but only an appliCation for a permit, and work is not to start without a permit; that the work will be in accordanCe with the approved plan in the case of work which requires a review and approval of plans. Exterlor�horized by a bullding permlt iasued In accordance with the Minnesota State Building Code must be completed wlthln 180 , day�"�perm ssuance. ,._„_..Y---�-�-°�,w-'"T'° f � ; : ___, :�-_ � ., g � �,p.. .. _ . �, ,`,,..�..e..__.:�. X_ _ �.z..`c---�_,._ �,�. .�jj'"J-�-..� x ._ _ �..W..,�., Appllcant's Printed Name ApplicanYs Sienalure „ Page 1 of 3 Use BLUE or BLACK Ink r—————————————————� I For Office Use � • � Permit#: � � �� j Clty of �� l �� Permit Fee: ` �� I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 I Staff: I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION iZ 1��S � �� ! �iG �,k� Co u�'�` �`�� M� `S�2.'L Date: Site Address: Unit#: �� Name:�..� n~~II�YY ..,. ��,J�_�.,�...,w��.Gc/��.......�.m._,.�,.P.. � �,�.�_,�...�Phone:� - ��..�...��..�,.....�.�,..,� �./ /-� � I�BS��rl81�#1 ` � � QW�Er :� Address/City/Zip: ��' � � �° � Applicant is: Owner Contractor ��,,�.�,�.....�.>,..�., � ��.�....��,_.m,,..�..,.��.�.�...��.�...,,...�..�.,.�.�.�...,......_.�..��..�� .�,��.�w�,.,...,,._�W..e..,__..._...�,w..�_.F..._�.,,�.,...,,.w,.,��o�. �� . ., � � Description of work: ��✓�� T�pe Of 1�o'rl� � ` � Construction Cost: Multi-Family Building: (Yes /No� � ��, , �..�.�..�...Y...�,..,�.��..�.��. —�.��r.,.�.,._..a„�,..y�.�.�,....��.....�.�.�,F.�.,�.,.�.�_,�..��_/� �� .,�...�� Company:/,tN�t-� �{�fi�+'� (�'��G� 1� �hc. Contact:�` f � � �i� � �UlTe ��` �� g Address: JS�b ��.� /w�� .�sl City: � j Gar�#ra.�t�o�r � � � State:�Zip: �Sy��/ Phone: '7(a3-S,S�,Un�J Email: �� ov�<.I�ir�i�uy��r°vJ•�` � ' f � License# �G v D� '7�y3 Lead Certificate# . �.�, H�,�.��._._�.�w�w,.,��M.,��,..�.��.w .�.�.� _F � _,.�.� ,._._,�._n,.�_.w.��..�.�...,,.�,M..,w�,. ,��w4,�.�,�.��,,�� .,....,_.,,..�,..��.,�.��,�,.�,��.,.�..�..,�.��4,,..��o�,.,_�,� � � If the project is exempt from lead certification, please explain why: _ --- .�,a,. .�r.�.�w...�._ .., w...._.�..__,.�.�....�..�_�d,w�n...�...�.�.e._..�..�.y.�,,.M._.._�.�.�..�_m�,.� . , . _,. , COMPLETE THIS AREA ONLY I� CONSTRUCTiNG A NEW BUILDING � i � In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? a I � Yes No lf yes,date and address of master plan: � � � Licensed Plumber: Phone: � Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: � .�,�111�T,�.��'��r��a�d�p�orf��d��s th�t,�oz�s��a�e cor�;i�red to b�p�rab��`��t�oa�. Pa�a��of j � #��+i��`arc�a��o�r�a�r�ie c#�ass��d�no�p�a��c�f y��pro�i�e a�pe�r�a�+c��s t�a�a��t�Ci�t� � � co�a��de��a�i� a�t�a�e s�c�e�s. e �.�,�....��,,.r.�,.�.a,.,av....�� :�..,,� ,�.... ..�r -___�.� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.gopherstafeonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota S t Building Code must be completed within 780 days of permit issuance. X �u�f {�rP,�r'�'A'��-- �—�-...�_ x ApplicanYs Printed Name Appli s Sign ture Page 7 of 3